Active NPI
Angela C Herman, MD
- Pediatric Hematology & Oncology Physician
- South Bend, IN
National Provider Identifier
1043441231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 01077087A
- Practice address
- 615 N Michigan St
4TH FL
South Bend, IN 46601-1033 - Phone
- (574) 647-6892
- Fax
- (574) 647-6895
- NPI assigned
- Aug 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53104 | MN | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 01077087A | IN | Primary |
Addresses
Primary practice location
615 N Michigan St
4TH FL
South Bend, IN 46601-1033
Mailing address
3245 Health Drive
Suite 100
Granger, IN 46530-3245
Phone (574) 647-1840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201374370 | Medicaid | IN |
Other names 1
- Angela C Miller
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acherman@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077087A | IN | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- acherman@mybeacon.cernerdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1043441231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DRIVE",
"address_2": "SUITE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465303245",
"telephone_number": "574-647-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N MICHIGAN ST",
"address_2": "4TH FL",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011033",
"telephone_number": "574-647-6892",
"fax_number": "574-647-6895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "ANGELA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "53104",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IN",
"license": "01077087A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201374370",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acherman@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "615 N Michigan St Fl 4",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "MILLER",
"middle_name": "C",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.